Individual provider Active NPI

Steve S Wyble, M.D.

  • Interventional Pain Medicine Physician
  • Opelousas, LA
National Provider Identifier
1851394118
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD.019978 Issued in LA
Practice address
3983 I 49 S Service Rd
Opelousas, LA 70570-0758
Phone
(337) 407-4512
NPI assigned
May 31, 2005
Last updated
May 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 019978 LA
Interventional Pain Medicine Physician 208VP0014X MD.019978 LA Primary

Addresses

Primary practice location

3983 I 49 S Service Rd
Opelousas, LA 70570-0758

Mailing address

PO Box 69
Opelousas, LA 70571-0069
Phone (337) 407-4512

Other identifiers 1

IdentifierTypeStateIssuer
1389820MedicaidLA

Other names 1

  • Dr. Stephen S Wyble Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000506 LA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0244236941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19978LAMDSocial Worker
019978LAMDAnesthesiology Physician
MD.019978LAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Specialists, LLC Interventional Pain Medicine CurrentSince Jan 1, 2009 Accepting new patients
Interventional Pain Specialists, LLC Interventional Pain Medicine CurrentSince Jan 1, 2009 Accepting new patients

Locations

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1851394118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710069",
            "telephone_number": "337-407-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700758",
            "telephone_number": "337-407-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYBLE",
        "first_name": "STEVE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "019978",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD.019978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389820",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "WYBLE",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.